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Postlaryngectomy Voice RestorationA Prospective Study in 83 Patients
St Jean Lacau Guily, MD;
Bruno Angelard, MD;
Michel El-Bez, MD;
Nicolas Julien, MD;
Christian Debry, MD;
Pascale Fichaux, MD;
Rémi Gondret, MD
Arch Otolaryngol Head Neck Surg. 1992;118(3):252-255.
Abstract
• From July 1985 until May 1990, 83 patients underwent a total laryngectomy. We prospectively studied voice restoration in 81 of them (two died postoperatively). Esophageal voice was used by 19 patients; a tracheoesophageal procedure (myomucosal shunt, primary or secondary puncture with Blom-Singer prosthesis) by 41; and 21 patients had no voice restoration. Results were assessed according to voice quality and usage. Tracheoesophageal speech had a success rate of 73% (good voice, daily use) after 1 month, while esophageal voice proved to have only a 5% success rate. Thirty patients (37%), however, remained without a substitute voice. The reasons for their exclusion are presented; they include a high rate of refusal.
(Arch Otolaryngol Head Neck Surg. 1992;118:252-255)
Author Affiliations
From the Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine COCHIN, Tenon Hospital, Paris, France.
Footnotes
Accepted for publication June 27, 1991.
Reprint requests to Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine St-Antoine, Tenon Hospital, 4 rue de la Chine, 75970 Paris Cedex 20 (Dr Lacau St Guily).
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